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[Outpatient laparoscopic cholecystectomy. Experience with the first 300 operations]
Jørgen Bendix Holme1, Fredrik Skarderud, Peter Ahlburg
1Kirurgisk Gastroenterologisk Afdeling L, Arhus Universitetshospital, Arhus Sygehus, DK-8000 Arhus C.
Ugeskrift for Laeger
|July 15, 2005
Summary
Outpatient laparoscopic cholecystectomy (LC) is safe for patients in Denmark, even when performed by trainees. This study shows low complication rates and supports the feasibility of supervised outpatient procedures.
Area of Science:
- Minimally Invasive Surgery
- Surgical Outcomes
- Outpatient Procedures
Context:
- Laparoscopic cholecystectomy (LC) in outpatient settings has limited evaluation in Denmark.
- Previous studies were small-scale, necessitating further investigation.
Purpose:
- To prospectively evaluate the safety and feasibility of outpatient laparoscopic cholecystectomy (LC).
- To assess complication rates, same-day discharge success, and training outcomes in a university hospital setting.
Summary:
- 300 consecutive outpatient LCs were analyzed for complications, same-day discharge failure (23%), readmissions (5%), and surgical risks.
- Low rates of surgical site infections (2), bile duct injuries (0), and cystic duct lesions (2) were observed. Trainee performance did not increase perioperative risks.
- Mortality was 0%, with minimal need for blood transfusions (2).
Impact:
- Demonstrates that outpatient LC is a safe procedure when performed by supervised trainees.
- Provides evidence supporting the expansion of outpatient LC services in Denmark.
- Highlights the importance of structured training programs for safe surgical practice.